Cette introduction au actes du XXe congrès de la Société de philosophie du Québec présente celui-ci comme l'occasion d'un bilan et d'une prospective. La société nouvelle, en effet, c'est d'abord la société actuelle. que l'on peut examiner par rapport aux revendications féministes des trois décennies précédentes: lecture politique. Mais la société nouvelle, c'est aussi celle de demain, celle qu'il faut imaginer pour mesurer les insuffisances de la société actuelle et pour inciter le présent à s'humaniser: lecture hétéropolitique. Il s'agissait donc (...) d'interroger le présent à la lumière des étapes franchies et des effets pervers qu'elles ont parfois entraînés, et de "rappeler les projets mis de l'avant par le mouvement des femmes". (shrink)

Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...) work processes at the CEGD. In this paper, we describe the CES services offered there in detail and elaborate on the 16 lessons we learned from the process of developing an integrative approach to CES. These learning points can inform and inspire CES professionals, who wish to bring about greater integration of CES services into clinical practice. (shrink)

Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...) work processes at the CEGD. In this paper, we describe the CES services offered there in detail and elaborate on the 16 lessons we learned from the process of developing an integrative approach to CES. These learning points can inform and inspire CES professionals, who wish to bring about greater integration of CES services into clinical practice. (shrink)

BackgroundIn the Netherlands, patients have the legal right to make a request for euthanasia to their physician. However, it is not clear what it means in a moral sense for a physician to receive a request for euthanasia. The aim of this study is to explore the moral values of physicians regarding requests for euthanasia. MethodsSemi-structured interviews were conducted with nine primary healthcare physicians involved in decision-making about euthanasia. The data were inductively analyzed which lead to the emergence of themes, (...) one of which was about values regarding end-of-life decisions.ResultsFour clusters of values related to euthanasia requests are described: values related to 1) the patient; 2) the family; 3) the physician; and 4) life and death. The data show that the participants value patient autonomy as a necessary but not sufficient condition for meeting a euthanasia request. A good relationship with the patient and the family are important. For the physician, the values physician autonomy, responsibility, understanding the patient and relief of suffering play a role. Life as an intrinsic good and a peaceful death are also important values.ConclusionThis study shows that next to patient autonomy and the relationship with the patient and the family, it is important for the participants to act in accordance with their professional values and to do justice to values related to life and death. The awareness of going against the intrinsic value of life is crucial, even if performing euthanasia may result in a feeling of relief or gratitude afterwards. (shrink)

BackgroundThe Dutch Euthanasia Act applies to patients 12 years and older, which makes euthanasia for minors younger than 12 legally impossible. The issue under discussion specifically regards the capacity of minors to request euthanasia.ObjectiveGain insight in paediatric experts’ views about which criteria are important to assess capacity, from what age minors can meet those criteria, what an assessment procedure should look like and what role parents should have.MethodsA Delphi study with 16 experts (paediatricians, paediatric nurses and paediatric psychologists) who work (...) in Children Comfort Teams in Dutch academic hospitals. The questionnaire contained statements concerning criteria for capacity and procedural criteria. Consensus was defined as ≥80% agreement.ResultsThe experts agreed that five criteria for capacity, found in a previous literature study, are all important. They agreed that some children between ages 9 and 11 could meet all the criteria. Consensus was reached for the statements that the entire medical team should be involved in the decision making and that a second independent expert must assess the case. Experts agreed that the parents’ opinion is relevant and should always be taken into account, but it need not be decisive.ConclusionThis study shows that the age limit of 12 years in the Dutch Euthanasia Act is too strong according to paediatric experts. Letting go of the age limit or lowering the age limit combined with adequate capacity assessment for minors younger than 12 are options that should be discussed further. (shrink)

Background There has been little attention paid to research on the outcomes of clinical ethics support or critical reflection on what constitutes a good CES outcome. Understanding how CES users perceive the importance of CES outcomes can contribute to a better understanding, use of and normative reflection on CES outcomes. Objective To describe the perceptions of Dutch healthcare professionals on important outcomes of moral case deliberation, prior to MCD participation, and to compare results between respondents. Methods This mixed-methods study used (...) both the Euro-MCD instrument and semi-structured interviews. Healthcare professionals who were about to implement MCD were recruited from nursing homes, hospitals, psychiatry and mentally disabled care institutions. Results 331 healthcare professionals completed the Euro-MCD instrument, 13 healthcare professionals were interviewed. The outcomes perceived as most important were ‘more open communication’, ‘better mutual understanding’, ‘concrete actions’, ‘see the situation from different perspectives’, ‘consensus on how to manage the situation’ and ‘find more courses of action’. Interviewees also perceived improving quality of care, professionalism and the organization as important. Women, nurses, managers and professionals in mentally disabled care rated outcomes more highly than other respondents. Conclusions Dutch healthcare professionals perceived the MCD outcomes related to collaboration as most important. The empirical findings can contribute to shared ownership of MCD and a more specific use of MCD in different contexts. They can inform international comparative research on different CES types and contribute to normative discussions concerning CES outcomes. Future studies should reflect upon important MCD outcomes after having experienced MCD. (shrink)

Ce petit article explicite brièvement le contexte de l�article qui précède et en retrace le parcours en montrant comment le philosophe s�approche prudemment des notions clés de la théologie chrétienne.

El presente artículo busca enfocar la correlación entre el uso de la energía, el espacio, el territorio y el desarrollo local, teniendo en cuenta la utilización del gas natural en las cerámicas de Mato Grosso del Sur/Brasil. La importancia de los hechos geográficos es pautada por muchos parámetros, como el paso del tiempo, los nuevos descubrimientos tecnológicos, las necesidades de materias primas, los objetivos nacionales e internacionales y la ética de las relaciones internacionales. El gas natural no es utilizado aún (...) como fuente alternativa de energía en gran escala en el Estado. Puede ser considerado como uno de los resultados de la valorización de la política socio económica, de la cultura local y del medio ambiente preservado como parte de la identidad local del ser humano al mejorar su calidad de vida. (shrink)

There is considerable support for the idea that an atmosphere of safety can foster learning in groups, especially during ethics training courses. However, the question how safety dynamics works during ethics courses is still understudied. This article aims to investigate safety dynamics by examining a critical incident during a military ethics train-the trainer course during which safety was threatened. We examine this incident by means of a four-factor analysis model from the field of Theme-Centered Interaction (TCI). We show that during (...) ethics training courses a safety paradox can occur, involving a tension between honesty and openness to other perspectives and values. Finally, we discuss how trainers can foster safety during ethics training. (shrink)

Much of what we know and see of ethics support, in literature and during trainings, workshops and conferences, derives from clinical ethicists working at academic medical centers. Besides the probl...

A travers la lecture du Visible et de l ‘Invisible, Guy-Félix Duportail se propose de montrer que la notion de chair connaît une structure topologique que l’on peut expliciter sous la forme de trois principes élémentaires : indivision, division, et réversibilité. Ceux-ci constituent l’infrastructure oubliée de la conscience et forment un inconscient phénoménologique (l’invisible- du visible). De plus, ces trois principes de la chair possèdent une signification· ontologique_ Dire que ľêtre est charnel, c’est ipso facto reconnaître la médiation nécessaire d’ (...) un troisième terme qui modifie le lien entre l’Être et le Néant. Ce troisième terme est ľ ouverture qui apparaît dans les phénomènes comme béance et qui s’apparente à l’objet du désir. L’ontologie de Merleau- Ponty dépasse ainsi la philosophie de la conscience de Husserl et de Sartre, de même que l’ontologie désincarnée de Heidegger. (shrink)

Le Commentaire du Traité de l'âme d'Aristote par Thomas d'Aquin est le cinquième des commentaires fondamentaux des oeuvres d'Aristote traduits en langue française. Avec celui des Physiques, de la Métaphysique, de l'Interprétation et des Analytiques, il fonde l'édifice de la philosophie de Thomas d'Aquin et assure les contreforts de sa théologie. Ce traité se présente comme un vaste essai de définition de l'âme et principalement de l'âme humaine, avec en filigrane, une question lancinante : cette âme est-elle immortelle? Si ce (...) traité est l'un des plus courts d'Aristote, et selon ses propres termes, encore à l'état d'ébauche, il est construit avec une rigueur méthodologique qui en fait une sorte de modèle pour toute réflexion philosophique. Thomas propose une explication reconnue comme des plus limpides, et introduit à un livre encore loué deux millénaires plus tard par Hegel, Marx ou Darwin. Comme le reste de l'oeuvre d'Aristote, il connaît aujourd'hui un regain d'intérêt remarquable et le commentaire de Thomas offre un guide très sûr pour son intelligence. (shrink)

Cette édition numérique a été réalisée à partir d'un support physique, parfois ancien, conservé au sein du dépôt légal de la Bibliothèque nationale de France, conformément à la loi n° 2012-287 du 1er mars 2012 relative à l'exploitation des Livres indisponibles du XXe siècle. Pages de début -- I -- Phénoménologies hégelienne et husserlienne Hegel et Husserl sur l'intersubjectivité Itinéraires phénoménologiques La dialectique de l'intentionnalité Essai de synthèse d'une méthode phénoménologique -- II -- Classes sociales selon Marx Imaginaire social et (...) creation des idéologies Production et classes sociales dans Le Capital L'évolution du concept de la lutte des classes dans la pensée de Marx Lesclasses sociales dans la philosophie de l'histoire de Marx Pages de fin. (shrink)

Until recently, moral case deliberation (MCD) sessions have mostly been facilitated by external experts, mainly professional ethicists. We have developed a train the facilitator programme for healthcare professionals aimed at providing them with the competences needed for being an MCD facilitator. In this paper, we present the first results of a study in which we evaluated the programme. We used a mixed methods design. One hundred and twenty trained healthcare professionals and five trainers from 16 training groups working in different (...) healthcare organisations throughout the Netherlands were included. After completion of the programme, participants feel sufficiently confident and equipped to facilitate an MCD session. Feeling competent does not mean that participants have no doubts or questions left. Rather, they are aware of their limitations and see the need for continuous learning. According to the respondents, the actual exercise of facilitating MCD during and in between the training sessions contributed most to the development of competences necessary for being an MCD facilitator. Respondents without prior experience of participating in MCD sessions felt less competent after the training than those who had participated in MCD sessions before. Self-attributed competence varied between participants with different professional backgrounds. (shrink)

The government-opposition scheme of a two-party system does not function that clearly in a multiparty system which is the case in Belgium. To examine to what extent the opposition parties in a multi-partysystem are functional for policymaking, the period 1965-1971 was chosen for Belgium, providing a complete scale of government and opposition parties.A content analysis of all political parties' platforms in 1965 permits to determine the policy objectives, classified in policy areas, so that at the end of the six years (...) a survey could be made about the completely andpartly realised planks of the platforms according to government and opposition parties, according to the party-strength which was congruent with the duration of government participation. In Belgium a distinctioncan also be made between the traditional opposition parties and the nonelitist opposition parties, which during the given period were not accepted as possible government parties by the political elite.To obtain a correct evaluation of the realisations, the approach took successively into account the absolute number of platform-planks, the number of specific items of a party and the degree of importance andsocial repercussion of the distinct planks that could be realised.Although respectively for 6, 4 and 2 years in the government the CVP, the BSP and the PVV realise approximately the same number of planks. The non-elitist opposition party Volksunie realised a smaller butstill considerable number of objectives. So did also, but to a smaller extent the RW, KP and FDP. The interpretation of these results could be the loss of distinctiveness of the government-opposition scheme in amultiparty system, the elite-consensus in Belgium, the function of the «zweeppartij» strategy and the definition of the opposition in terms of action. (shrink)

Central to philosophical practice is the application of philosophers' work by philosophical practitioners to inspire, educate, and guide their clients. For example, in Logic-Based Therapy (LBT) philosophical practitioners help their clients to find an uplifting philosophy that promotes guiding virtues that counteract unrealistic and often self-defeating conclusions derived from irrational premises. I will present the argument that Simone de Beauvoir’s existentialist ethics can be applied as an uplifting philosophy as per LBT methodology, and therefore has utility for philosophical practice. Additionally, (...) I will propose that Beauvoir’s existentialist ethics, as an uplifting philosophy, may act as an antidote for ideological obsession and ideology addiction. I will also suggest that LBT may be a suitable intervention when challenging the unrealistic conclusions derived from illogical premises in practical reasoning that contribute to ideological obsession, because it can contest irrational beliefs in a way that could mitigate the fragmentation anxiety that often arise when individuals relinquish maladaptive self-object organizations. (shrink)

Faire comprendre la genèse et la construction de la pensée de Platon, et la méthode inédite qu’il met au point pour penser, tel est l’objet de ce livre. Riche de ses débats avec de grands penseurs de l’Antiquité : Pythagore, Héraclite, Parménide, Gorgias... la dialectique platonicienne, alliant exigence de vérité et recherche d’efficacité, invente ainsi la philosophie. Découvrir la force et les enjeux de cette invention permet d’explorer, aussi, le sens qu’une histoire de la philosophie peut avoir aujourd’hui, et les (...) défis qu’elle porte en elle. (shrink)

Mon corps est-il un objet parmi d'autres dans l'espace ou bien crée-t-il l'étendue qu'il perçoit jusqu'à l'écho des étoiles? À quelle spatialité suis-je assujetti pour être relié de l'intérieur au monde et aux autres corps qui m'entourent? Les dimensions de l'espace sont-elles des coordonnées de la matière morte ou sont-elles des variations modales de mon esprit? C'est à la découverte de la spatialité du corps vivant que nous invite Guy-Félix Duportail dans son Analytique de la chair. il nous apprend, entre (...) autres, que la phénoménologie et la psychanalyse se rencontrent en ces lieux de la chair suivant des principes topologiques communs. Guy-Félix Duportail dessine le schéma intérieur de la subjectivité comme se donnant à l'extérieur, dans le monde. La subjectivité incarnée se retourne comme un gant et se retrouve ainsi exposée au-dehors, dans son sinthome, comme disait Lacan, dans son implexe, comme disait Merleau-Ponty. Dans tous les cas, elle se réalise dans une création réparatrice de son mal-être. L'immanence est donc dans la transcendance, et l'espace-temps se réfléchit dans la chair, dans les tourbillons de sa jouissance. La présente Analytique de la chair révèle qu'un corps sans organes (Deleuze et Guattari) est certes moins qu'un noeud, mais demeure plus qu'un emmêlement, et qu'une chair sublime mais sans corps (Levinas, Henry) ne fait du visage qu'un masque, et de la Vie glorieuse du Moi qu'un éloge de la pulsion de mort. (shrink)

La science ne se construit pas dans la solitude. La recherche s'inscrit dans les pratiques sociales d'un milieu et d'une époque. Mais, la croissance rapide de nos sociétés a créé une scission entre nos concitoyens et les "spécialistes", perçus comme perdus dans leurs savoirs et pratiquant des rites complexes et incompréhensibles. Le "peuple" et les "élites" ont cessé de se comprendre et une méfiance réciproque est née entre ces deux catégories qui fonctionnent pourtant selon les mêmes règles.

With this second dialogue, Salviati wants to remove Simplicio’s difficulties on the actual distinction of essence and being as well as on the notion of the act of being (actus essendi). Feeling that he had skipped stages in their first dialogue, he suggests going back to the determination of the exact subject of metaphysics according to Thomas Aquinas. He will progress in two steps: the transition from «first perceived being» to «common being» or «being as being» by a judgment of (...) separation, and then the definition of the subject of metaphysics as «being negatively or neutrally immaterial». With this conclusion, Salviati intends to lead Simplicio to understand the autonomy of the principles of metaphysics towards philosophy of nature. Simplicio remains curious but dubious. Is not the negatively immaterial being a simple dialectical notion that Salviati would take for a metaphysical one? Is the independence of metaphysics from physics therefore also ensured? And consequently, is there actually a difference between the first perceived being and the common being, subject of metaphysics? What is, actually, the subject of metaphysics? (shrink)

Si la solitude est peut-être d’abord l’expérience d’une scission fondamentale, venant rompre l’apparente indistinction primitive du moi, il y a aussi une aspiration à la solitude absolue, qui vise l’unité par-delà la dualité, qui cherche à dépasser la séparation du soi avec soi, à retrouver l’identité hégélienne du Je=Je, dont l’expression la plus haute est l’Un de la première hypothèse du Parménide de Platon. Unité du moi dans la contemplation de la nature, révélation de l’absolu en soi dans la foi, (...) voire dans l’extase mystique, dithyrambe dionysiaque dans le consentement à l’éternel retour du même, impersonnalité du Je dans la création de l’œuvre : que nous apprennent ces figures essentielles de la solitude? (shrink)